Organization
CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
2275 S EAGLE RD, SUITE 190, MERIDIAN, ID 83642-5079
(208) 288-0649
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
12/26/2024
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